93-102333 MECHANI AL PERM IT 93- /6a333
CITY OF FEDERAL WAY PERMIT NO,:
8LD93 0990
3.3530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 09/09/93
Federal Way, WA 98003 BY: FC
661-4000
C ,y C�
A,t �1eg 56`-/- .2 3i' - �, . 6-4-s �o_ -rh-%,-- 70 z
SITE ADDRESS: 29751 4TH AVE S /
'ARCEL NO.: 6928600510 Ci-Fe(s<Y j47 4'0- ( - '/7?- 7r 33?
PROJECT DESCRIPTION: HVA o CHANGEOUT FOR BOILER & H2O REPLACEMENT.
OWNER CONTRACTOR — LENDER
FRANK BRENNAN NARROWS HEATING/AIR CNDTNG,INC
29751 - 4TH AVE S 16+01 - 6TH AVE
FEDERAL WAY WA 98003 TACOMA WA 98405
L_0185 ucy,,i.;
2/ - 5,74.- aG C.,J NARROI*216J3
FUEL TYPES.:GAS FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP......: 0 MEC PRMT ISSUANCE... $ 20.00
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 1 MEC APPLIANCE FEES.* $ 23.00
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBC) • 0 MISC • 0 5+ HP • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 TOTAL FEES $ 43.00
E
INSPECTION RECORD
Water Line OK Mechanical Inspection Notes:
IS PIPING OK 5 -1-/MV lj f Date 0)0-i7-5 By /t
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
4.- PL)'/1/}1/ A4
OWNER OR AGENT 44.-eL. ,__,•2)- DATE 91/9 3 , C� I'", N
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bcd_mech 07/01/92 f
rigs
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SET BACKS AND FOOTINGS IP TO POUR FOUNDATION WALLS POING GROUNDWORK
DATE-_....._ BY DATE ...—_.__ BY DATE BY
'
PLUMBING ROUGH IN WATER LINE O.K. _... ___ MECHANICAL INSPECTION
DATE ...—_. — __--....BY GAS PIPING O.K. DATE
BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE ..BY DATE ...—__ _—_...---........BY DATE BY
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE 6 20--FS BY //-24/.....
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• City of Federal Way II/ ,
�-y-,,,,,,,.._�vAPPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION It: 474.-9e/./ 9? t'
SITE LOCATION Address 9.,5 7 57 4-,/7K five.. 1-4-_- -f Ct<'
Tenant (if known �%
Lot # Assessor's Tax #
Building Owner Name Address
S-I -wt, 0 q 7'S / el r"-f rico S•
City i-e L ci4.1_ State Lj c Zip I Phone 74 j D) g' 5
Nature of Work
APPLICANT
Name (F,M,L) , _
Address
((,t) ( L 74--t4.0E_
City `"Ti.QC C7tit[,fQ tt ick State (. C... Zip ct c.3 `7"C j
Contact Person Day Phone Other Phone Fax
`)w - $ t i.4 lei L Cr.227 2 5 Y 3 54?) - 06
I BUILDING CONTRACTOR
Company Name
Address '
CityState Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
N
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4;93;
STRUCTURE •xisting Use a Proposed Use
Permit includes: ❑ Building X Plumbing X Mechanical ❑ Other
Type of Work: 11i.t Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition C Garage ❑ Shed ❑ Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation S
Zoning Lot Size Existing Bldg'Valuation $
LENDER
Name Address
City State Zip
MECHANICAL CONTRACTOR
Contractor Name Address
!L yh'Cc.-c 7 4"--el A-c � c.,. / (, G( cf_4 Pk-q7-
,City
k-
City r14C_(.-1-1-414 1 am
State C.r(il4- Zip ej!Sy''Se OS--
Contact Phone Fax
.'1'.) ANA— ,5 kt4 6 21— 543 57,)- i 7 C (-
License # i\-\4\,r-f Zj11 t((P': 3 Expiration Date`fpe S cF Verified FA,Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name� j Address
�
0C"\-- 4,
{- 6-d61(--'
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes C No
PLUMBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
MECHANICAL UNIT COUNT
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Fu 100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt t Hood Boitke Above Ground
Cony Burner Duct Work -3 Ton ) Underground
BBQ's Wood Stoves nnc )Total Unit Count
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge and further that I am authorized by the owner
of the above premises to perform the work for which permit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,
and attorneys'fees incurred in investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,
but only where such claim arises out of the reliance of the City, including its officers and employees,upon the accuracy of the information supplied to the City as a part of this
application.
?...----)'3Ata2kc`� /y� , 3
Owne/Agent: Date: ` { / ' -__-